Sign Up for Center For Working Families at EMCC
Fill out the form below to sign up. Once you complete the form you will be contacted by an EMCC staff member shortly.
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I am interested in the following services (check all that apply)
Home Address
Zip Code
Home Telephone Number
Cell Phone
Are you currently employed?
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Are you currently in school or training?
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If employed where do you work?
What hours do you work?
If in school/training what hours do you attend school?
Are you currently looking for work?
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If you have children, do you have dependable childcare?
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If you have children, how old are they?
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